Common Contracts

BLUE CROSS BLUE SHIELD OF MICHIGAN CERTIFIED NURSE PRACTITIONER PARTICIPATION AGREEMENT

Participation Agreement • May 18th, 2022 • Michigan

• Contract Type
  Participation Agreement
• Filed
  May 18th, 2022
• Jurisdiction
  Michigan

THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Certified Nurse Practitioner, who is licensed or legally authorized to practice in Michigan ("Provider").

BLUE CROSS BLUE SHIELD OF MICHIGAN CLINICAL LICENSED MASTER’S SOCIAL WORKER TRADITIONAL PARTICIPATION AGREEMENT

Participation Agreement • January 31st, 2022 • Michigan

• Contract Type
  Participation Agreement
• Filed
  January 31st, 2022
• Jurisdiction
  Michigan

THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Clinical Licensed Master’s Social Worker, who is licensed or legally authorized to practice in Michigan ("Provider").

PARTICIPATION AGREEMENT

Participation Agreement • August 18th, 2020 • Michigan

• Contract Type
  Participation Agreement
• Filed
  August 18th, 2020
• Jurisdiction
  Michigan

THIS AGREEMENT is made by and between Blue Cross Blue Shield of Michigan a Michigan nonprofit healthcare corporation, (“BCBSM”) and the undersigned Athletic Trainer, who is licensed or legally authorized to practice in Michigan ("Provider").